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PR A 25 2013 2:24 F PM R ROSE CATERER. A INC252 8306 O T 15033786163 .01 P Public Utility Commission of Oregon Administrative Hearings Division FORMAL CONSUMER COMPLAINT this form to file a formal

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How to fill out PMR Rose:

1. Start by opening the PMR Rose form.
2. Fill out your personal information, including your name, address, and contact details.
3. Provide information about the patient for whom the PMR Rose is being filled out, such as their name, date of birth, and any relevant medical history.
4. Indicate the reason for filling out the PMR Rose, whether it is for a routine check-up, a specific medical condition, or as part of ongoing treatment.
5. Specify any medications or treatments that the patient is currently undergoing, including dosage and frequency. If there are any changes to these medications, ensure that it is noted in the form.
6. Document any allergies or adverse reactions to medications or treatments that the patient may have.
7. Mention any ongoing medical conditions or chronic illnesses that the patient is dealing with.
8. Include any relevant family medical history, particularly if there are hereditary conditions that may impact the patient's health.
9. If necessary, provide additional details or explanations in the designated section of the form.
10. Review the completed PMR Rose form for accuracy and completeness before submitting it.

Who needs PMR Rose:

1. Patients who are undergoing regular medical check-ups.
2. Individuals with specific medical conditions that require ongoing monitoring.
3. Patients who are receiving treatment for a particular illness or injury.
4. Individuals with chronic or long-term medical conditions.
5. Anyone who is starting a new course of treatment or medication.
6. Patients with a complex medical history or multiple medical providers.
7. Individuals preparing for surgery or other medical procedures.
8. Patients with a family history of certain medical conditions.
9. Individuals who want to ensure that their medical information is accurately recorded and readily available for healthcare professionals.
10. Any person who wants to actively participate in their own healthcare and keep track of their medical history and treatments.

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